# The Ionising Radiation (Medical Exposure) Regulations 2017, Paragraph 1 Extent: E+W+S Practitioners and operators must have successfully completed training, including theoretical knowledge and practical experience, in— (a) such of the subjects detailed in Table 1 as are relevant to their functions as practitioner or operator; and (b) such of the subjects detailed in Table 2 as are relevant to their specific area of practice. Table 1 Radiation production, radiation protection and statutory obligations relating to ionising radiations Fundamental Physics of Radiation Properties of Radiation Excitation and ionisation Attenuation of ionising radiation Scattering and absorption Radiation Hazards and Dosimetry Biological effects of radiation - stochastic and deterministic Risks and benefits of radiation Absorbed dose, equivalent dose, effective dose, other dose indicators and their units Management and Radiation Protection of the individual being exposed Special Attention Areas Pregnancy and potential pregnancy Asymptomatic individuals Breastfeeding Infants and children Medical and biomedical research Health screening Non-medical imaging Carers and comforters High dose techniques Justification and authorisation Justification of the individual exposure Use of existing appropriate radiological information Alternative techniques Radiation Protection Diagnostic reference levels Dose reference levels Dose Constraints Dose Optimisation Dose reduction devices and techniques Dose recording and dose audit General radiation protection Quality Assurance for written procedures and written protocols Quality Control for the routine inspection and testing of equipment Risk communication Use of radiation protection devices Statutory Requirements, Non-Statutory Guidance and other documents Regulations Non-statutory guidance Local procedures and protocols Individual responsibilities relating to exposures Responsibility for radiation safety Proactive use of clinical audit Analysis of events involving accidental or unintended exposures Study of risk of accidental or unintended exposures Table 2 Diagnostic radiology, radiotherapy and nuclear medicine All Modalities General Fundamentals of radiological anatomy Factors affecting radiation dose Dosimetry Fundamentals of clinical evaluation Identification of the individual being exposed Equipment specification Contrast Media Use and preparation Contraindications Use of contrast injection systems Diagnostic radiology General Principles of radiological techniques Production of X-rays Specialised Techniques Computed Tomography Interventional procedures Hybrid imaging Practical aspects for diagnostic radiology Patient positioning Equipment selection and use Protocol selection Optimisation of image quality and radiation dose Dose assessment and recording Image acquisition, artefacts, processing, display and storage Radiotherapy General Production of ionising radiation Treatment of malignant disease Treatment of benign disease Principles of external beam radiotherapy Specialised techniques Brachytherapy Intra-operative radiotherapy Proton therapy Magnetic Resonance Linac therapy Computed Tomography: applications limited to radiotherapy Advanced techniques Radiobiological Aspects for Radiotherapy Fractionation Dose rate Radiosensitisation Target volumes Organs at risk The Radiobiological effect of gaps in treatment The Radiobiology of re-treatment Practical Aspects for Radiotherapy Patient positioning Equipment selection and use Principles of localisation techniques Principles of planning techniques Principles of dose calculation and verification techniques Principles of treatment techniques Principles of on-treatment imaging Optimisation of image quality and radiation dose Radiation Protection Specific to Radiotherapy Side effects—early and late Toxicity Assessment of efficacy Nuclear Medicine General Atomic structure and radioactivity Radioactive decay Principles of molecular imaging and non-imaging exposures Principles of molecular radiotherapy Molecular Radiotherapy Dose rate Fractionation Radiobiology aspects Radiosensitisation Specialised techniques Quantitative imaging—advanced applications Hybrid imaging—advanced applications Selective Internal Radiation Therapy Radiopharmaceuticals Calibration Working practices in the radiopharmacy Preparation of individual doses Practical aspects for nuclear medicine Patient positioning Equipment selection and use Protocol selection Optimisation of image quality and radiation dose Dose assessment and recording Image acquisition, artefacts, processing, display and storage Radiation Protection Specific to Nuclear Medicine Conception, pregnancy and breastfeeding Radiation protection arrangements for radioactive individuals --- Source: https://www.legislation.gov.uk/uksi/2017/1322/schedule/3/paragraph/1 (the official version) Page: https://openlegislation.uk/ionising-radiation-medical-exposure-regulations-2017/schedule-3/paragraph-1 Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.